Organization
ANTOINETTE MIMS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE NADINE MIMS-BROWN LCSW-R (PSYCHOTHERAPIST)
(631) 660-5666
Entity
Organization
Contact information
Practice address
157 E 86TH ST, NEW YORK, NY 10028-2175
(631) 660-5666
Mailing address
157 E 86TH ST FL 4, NEW YORK, NY 10028-2175
(631) 660-5666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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